Active NPI
Ronald Wayne Pinkard, DPM
- Primary Podiatric Medicine Podiatrist
- Oakland, CA
National Provider Identifier
1366655003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E-2493
- Practice address
- 400 40TH St
Ste 202
Oakland, CA 94609-2509 - Phone
- (510) 597-0283
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E-2493 | CA | Primary |
Addresses
Primary practice location
400 40TH St
Ste 202
Oakland, CA 94609-2509
Mailing address
201 E. 12TH St
#308
Oakland, CA 94606-2243
Phone (510) 597-0283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E24930 | Other | CA | MEDI-CAL ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-2493 | CA | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366655003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E. 12TH ST",
"address_2": "#308",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946062243",
"telephone_number": "510-597-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 40TH ST",
"address_2": "STE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092509",
"telephone_number": "510-597-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKARD",
"first_name": "RONALD",
"middle_name": "WAYNE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E-2493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL ID",
"identifier": "000E24930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.